-
How often do you
have a drink containing alcohol?
( ) never (0)
( ) monthly or less (1)
( ) two or four times/month (2)
( ) two or three times/week (3)
( ) four or more times/week (4)
-
How many drinks containing alcohol
do you have on a typical day when you are drinking?
( ) 1 or 2 (0)
( ) 3 or 4 (1)
( ) 5 or 6 (2)
( ) 7-9 (3)
( ) 10 or more (4)
-
How often do you have six or more
drinks on one occasion?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
How often during the last year have
you been unable to remember what happened the night before because
of drinking?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
How often during the last year have
you found that you were not able to stop drinking once you
started?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
How often during the last year have
you failed to do what is normally expected from you because of
drinking (e.g., missed deadlines, poor classroom or work
attendance, failed committee responsibilities, inconsistent work
patterns)?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
Have you or someone else been
injured as a result of your drinking?
( ) no (0)
( ) yes, but not in the last year (2)
( ) yes, during last year (4)
-
Has a relative or friend or doctor
or other health worker been concerned about your drinking or
suggested you cut down?
( ) no (0)
( ) yes, but not in the last year (2)
( ) yes, during last year (4)
-
How often the last year have you
needed a first drink in the morning to get yourself going after a
heavy drinking session?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
How often during the past year have
you had feelings of guilt or remorse after drinking?
( ) never (0)
( ) less than monthly (1)
( ) monthly (2)
( ) weekly (3)
( ) daily or almost daily (4)
-
Have people annoyed you by
criticizing your drinking?
( ) no (0)
( ) yes, but not in the last year (2)
( ) yes, during last year (4)
-
Have you ever felt that you should
cut down on your drinking?
( ) no (0)
( ) yes, but not in the last year (2)
( ) yes, during last year (4)
Scoring
After you have finished, total your individual item scores into
one composite score for all 12 questions. Next, total your
individual item scores for the last four questions only (9-12).
You should now have two composite scores
questions and one for the last four questions.
Interpretation
A score of 8 or more for all 12 questions indicates that a harmful
level of alcohol consumption is likely. The last four questions
(9, 10, 11, 12) are considered a separate only the last four
items, a total score of 1-2 indicates that you may have a drinking
problem. A score of 3 or more indicates there is a significant
possibility that you have a problem with alcohol. If your score
exceeds the cut-off values on either
instrument, you should seek help.
Questions?
If you have any questions about your score on this instrument or
general questions/concerns about your or someone else
addition, appointments for a confidential, comprehensive
assessment by a trained professional can be scheduled for
employees.
The CAGE is reprinted with the permission of Dr. John A. Ewing and
the Bowles Center for Alcohol Studies, School of Medicine,
University of North Carolina at Chapel Hill.
Copyright, 1993 Helen Dwight
Educational Foundation
http://www.med.unc.edu/alcohol/
